NPI | 1386184521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP70014201) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN606161406) |
163WL0100X Registered Nurse, Lactation Consultant (Licence: ZZ L-94269) | |
Enumeration Date | 2017-03-07 |
Last Update Date | 2025-07-17 |